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1073707840
CARLA INEZ BOURNE
TAMPA, FL
NPI
1073707840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME107148)
Enumeration Date
2007-09-05
Last Update Date
2015-01-07
Business Address
-- CARLA INEZ BOURNE M.D.
13127 USF MAGNOLIA DR MDC21
TAMPA, FL 33612
Phone number: 813-974-2064
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Mailing Address
-- CARLA INEZ BOURNE M.D.
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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